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Medicaid for the Elderly and People with Disabilities Handbook
MEPD Appendices
MEPD Appendices
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Pages in this section:
Appendix I, MAO Action Codes
Appendix II, Reserved for Future Use
Appendix III, Reserved for Future Use
Appendix IV, Reserved for Future Use
Appendix V, Levels of Evidence of Citizenship and Acceptable Evidence of Identity Reference Guide
Appendix VI, SSA Claim Number Suffixes
Appendix VII, County Names, Codes and Regions
Appendix VIII, Summary of Effects of Institutionalization on Supplemental Security Income (SSI) Eligibility
Appendix IX, Medicare Savings Program Information
Appendix X, Life Estate and Remainder Interest Tables
Appendix XI, Reserved for Future Use
Appendix XII, Nursing Facility and Home and Community-Based Services Waiver Information
Appendix XIII, Reserved for Future Use
Appendix XIV, In-Kind Support and Maintenance Charts A through E; Worksheets A through D
Appendix XV, Notification to Provide Proof of Citizenship and Identity
Appendix XVI, Documentation and Verification Guide
Appendix XVII, System Generated IEVS Worksheet Legends for IRS Tax Data
Appendix XVIII, IRS Tax Code, Sections 7213, 7213A, and 7431
Appendix XIX, Reserved for Future Use
Appendix XX, Deeming Noninstitutional Budgets – Couple Living in the Same Household
Appendix XXI, Reserved for Future Use
Appendix XXII, Home and Community-Based Services Waiver Program Co-Payment Worksheets
Appendix XXIII, Procedure for Designated Vendor Number to Withhold Vendor Payment
Appendix XXIV, Reserved for Future Use
Appendix XXV, Accessibility to Income and Resources in Joint Bank Accounts
Appendix XXVI, ICF/IID Vendor Payment Budget Worksheets
Appendix XXVII, Worksheet for Expanded SPRA on Appeal
Appendix XXVIII, Worksheet for Spouse's Income (Post-Expanded SPRA Appeals)
Appendix XXIX, Special Deeming Eligibility Test for Spouse to Spouse
Appendix XXX, Medical Effective Dates (MEDs)
Appendix XXXI, Budget Reference Chart
Appendix XXXII, Reserved for Future Use
Appendix XXXIII, Medicaid for the Elderly and People with Disabilities Information
Appendix XXXIV, Burial Resources
Appendix XXXV, Treatment of Insurance Dividends
Appendix XXXVI, QITs and MEPD Information
Appendix XXXVII, Master Pooled Trust and Medicaid Eligibility Information
Appendix XXXVIII, Pickle Disregard Computation Worksheet
Appendix XXXIX, MBI Screening Tool and Worksheets
Appendix XL, Medicare and Extra Help Information
Appendix XLI, Reserved for Future Use
Appendix XLII, Variable Income Worksheet
Appendix XLIV, Reserved for Future Use
Appendix XLV, Reserved for Future Use
Appendix XLVI, Reserved for Future Use
Appendix XLVII, Reserved for Future Use
Appendix XLVIII, Medicaid Buy-In for Children (MBIC) Denial Codes
Appendix XLIX, Medicaid Buy-In for Children Program Form Chart
Appendix L, 2026 Income and Resources Reference Chart
Appendix LI, Self-Service Portal (SSP) Information
Appendix LII, Reserved for Future Use
Appendix LIII, Sponsor to Alien Deeming Worksheet
Appendix LIV, Description of Alien Resident Cards
Appendix LV, Reserved for Future Use
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